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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A mumps outbreak is occurring in your community, with higher attack rates among post-secondary students.
Which one of the following is the most effective intervention?

A) Exclusion of contacts from the school and workplace before symptoms develop.
B) Exclusion of clinical cases from the school and workplace.
C) Closing of the community's post-secondary institution.
D) Administration of immunoglobulin to contacts.
E) Organization of clinics to rapidly treat suspected cases with antivirals.

2. You are seeing a 5-month-old infant who has had intermittent stridor since age 2 months. He is otherwise healthy. He has been drinking well and has been reaching all the age-specific developmental milestones.
Which one of the following is the most likely diagnosis?

A) Subglottic hemangioma.
B) Laryngomalacia.
C) Tracheoesophageal fistula.
D) Aspiration of a foreign body.
E) Vascular ring.

3. A 44-year-old woman presents to the office to discuss contraception. During the gynecologic examination, you notice an anterior cystocele to the hymenal ring. The woman denies any bulge symptoms but does report dribbling of urine, especially when she coughs or jogs.
Which one of the following is the best next step?

A) Pelvic-floor physiotherapy
B) Topical estrogen
C) Urology consultation
D) Vaginal hysterectomy
E) No impact sports

4. A 79-year-old woman presents to the Emergency Department with sudden-onset severe chest and back pain that started 1 hour ago. She has a history of hypertension and looks unwell. Her vital signs are as follows:
blood pressure 168/108 mm Hg, heart rate 110/min, respiratory rate 22/min, temperature 36.7°C. Findings of a physical examination of the chest and abdomen are normal. An urgent computed tomography (CT) scan of the chest and abdomen shows an aortic dissection extending from the descending thoracic aorta to the upper abdominal aorta. The branches of the abdominal aorta are patent. Following initial resuscitation, which one of the following is the best next step?

A) Perform endovascular repair of the thoracic and abdominal aorta.
B) Start intravenous heparin.
C) Initiate intravenous labetalol.
D) Conduct open repair of the thoracic and abdominal aorta.
E) Admit the patient to the Intensive Care Unit and repeat CT in 6 hours.

5. A 21-year-old man presents to the Emergency Department with a 6-month history of unusual behavior. He believes that he has been specially chosen to found a new religion. He says he has seen visions of angels in his bedroom. He appears disheveled and malodorous. On further inspection, you note that he drinks 2 liters daily.
Which one of the following is the most appropriate initial management?

A) Valproic acid
B) Carbamazepine
C) Electroconvulsive therapy
D) Cognitive behavior therapy
E) Risperidone

Solutions: